Ethan T Phan, MD in Sacramento, CA - Medicare Hospitalist

Ethan T Phan, MD is a medicare enrolled "Hospitalist" physician in Sacramento, California. His current practice location is 3000 Q St Fl 3, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 733-3400.

Ethan T Phan is licensed to practice in California (license number A170167) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083076947.

Contact Information

	Ethan T Phan, MD
	3000 Q St Fl 3, Sacramento, CA 95816-7058
	(916) 733-3400
	(916) 733-5940

Map and Direction

Physician's Profile

Full Name	Ethan T Phan
Gender	Male
Speciality	Hospitalist
Location	3000 Q St Fl 3, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083076947
Provider Enumeration Date: 03/22/2016
Last Update Date: 12/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7719268390
Enrollment ID: I20210111000504

Medical Identifiers

Medical identifiers for Ethan T Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083076947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	A170167 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ethan T Phan allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan T Phan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ethan T Phan, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () -	Ethan T Phan, MD 3000 Q St Fl 3, Sacramento, CA 95816-7058 Ph: (916) 733-3400

Reviews and Comments

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Dr. Michael Thomas Macellari, DO, CSCS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3000 Q St Fl 3, Sacramento, CA 95816 Phone: 916-733-3400 Fax: 916-733-5384
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Ethan T Phan, MD - Medicare Hospitalist in Sacramento, CA